HomeMy WebLinkAbout07050109 Application
City of Carmel! Clay Township Permit #: ()1 OS D 10 or
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
NAM\) R:eE:S
~eS
S::U to
(fcshl5'0\.e~ t
,STREET ADDRESS:. ~_.........
lR ~ - --- JtCtlM Ul
PROPERTY
OWNER:
5ClM---
STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT#:
5
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPER1)';
TYPE OF CONSTRUCTION: TYP OF IMPROVEMENT:
o ....sINGLE FAMILY NEW STRVCTURE
rSi!' TOWN HOME UdlQllM"lUlbhION(S)
o TWO FAMILY rOR CoN'tD' rp'dIt'~i:!~ION(S)
# .ll~~ijiUl '8 wit\Ql\\ DE'il1t'libOITION(S)
cdil9b'u1:l'~'f6't~p\\anc a\CBo<!llEMODEL
ti~blec te and lOc ~tFiniShOnlY
o RESIDENTIAL(fFM" r,,^MUN\1'f 1t,'H\Y\LDING
Addi~?l'r@C!er;.'E't<:;J I C~:{ If GARAGE
r CARM\::l ATTACHED GARAGE
PROJEdP\ti:~MATION~NO\AN DEMOUTION
Early Release I Manufactured /'
Permit: _Y ~ Trusses: ~Y-I'Y'
Lot Split: _Y _N Sump Pump: _Y --6
FAX:
Ji7-347-7~ I g
STATE: N 4-Z~2-7g
PHONE:
D OF CONTt3:~
FAX:
CITY:
STATE:
ZIP:
ZONING: PlCD
SQUARE . '" () .
FOOTAGE: cL>1.
ESTIMATED COST OF CONSTRUCTION: d" I r.j ~f' I'\tv-"
(EXCLUDING LAND VALUE) .]> \.-1 lA V'-Li
SECTION:
JDi-\- C\Jr\-IrttttC
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
"?t\llL E. ~ ITf+-
Plumber's Indiana State License #: ~"".
-""- '-,
IDI1Tl /', , /'\
~i PIUmbingcodeSwillb~,apPI!~dtotli-e~~nst...uction: \, \ \1\
\ '\ ~ ~ ,
International Re'sidential Code w/Indianai~~endri,ents\
o Unifonn Plumbin~\~~~J;w/IhQi~na\m~~T~ments~S'-'-_/ \
\\' \'." //
.\ ,\. /-'
FOUNDATION TYPE:\ (Check all. that apply for the new~
construction area) \'\'~ 1.- \.-- --- _____------
/~
~RAWLSPACE O/POST&_ BEAM --LPIER
\-- .
SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences 'Within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "'Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, ado d under authority of r.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor d in are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Dc upancyt~:: by the Deportment of Commuruty semeeMe" rIg{-\. t:s - J r'l K 510 hn
signa,.,e of Owne. o. A,thorized .,int P
OFFICE USE ONLY: ******************************************************* **************************
CTIONS REQUIRED. 51;4, Filing Fees: "7' tJ / . 2. 0
I"" Base Inspections: '7 n= 7 , 5f) # Charged Re-
55 ' SO Reviews
/:2 Ctl, I . () (!) Additional Fees
4J 2;505. "20
Date
Cert. of Occupancy'
/:
P.R.I.F.: /
:;;:::
7
ate)
S:PermitsjFormsjI RESIDENTIAL
Fee Received by:
Date